Individual provider Active NPI

Allison V Mikota, OTR/L

  • Hand Occupational Therapist
  • Eagan, MN
National Provider Identifier
1104053198
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
102368 Issued in MN
Practice address
1185 Town Centre Dr Ste 100
Eagan, MN 55123-1188
Phone
(651) 968-5230
Fax
(651) 994-5200
NPI assigned
Jun 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 102368 MN Primary

Addresses

Primary practice location

1185 Town Centre Dr Ste 100
Eagan, MN 55123-1188

Mailing address

710 Commerce Dr Ste 200
Woodbury, MN 55125-4925
Phone (651) 968-5042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090930000671 MN Practitioner - Occupational Therapist in Private Practice 8820134109 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Indiana University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Park Nicollet ClinicGroup PAC ID 7911819438, 1,778 clinicians
Infinite Health Collaborative, PAGroup PAC ID 1052225042, 815 clinicians

Practice addresses (Care Compare)

15800 95TH Ave N
Maple Grove, MN 55369-4400
Phone (952) 993-1440

5320 Hyland Greens Dr
Bloomington, MN 55437-3934
Phone (952) 993-2400

9630 Grove Cir N
Suite 200
Maple Grove, MN 55369-3492
Phone (763) 520-7870

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102368MNMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tria Orthopaedic Center LLC Hand CurrentSince May 1, 2023 Accepting new patients
Park Nicollet Clinic CurrentSince Jan 1, 2023 Accepting new patients
Park Nicollet Clinic CurrentSince Jan 1, 2023 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Nov 4, 2015 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Nov 4, 2015 Accepting new patients
Infinite Health Collaborative, PA Past Accepting new patients

Locations

2700 Vikings Cir
Eagan, MN 55121
Phone (952) 456-7600

9630 Grove Cir N
Ste 200
Maple Grove, MN 55369
Phone (763) 520-7580

8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626

4200 Dahlberg Dr
Ste 300
Minneapolis, MN 55422
Phone (952) 512-5600

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

3545 Highway 61 N
Vadnais Heights, MN 55110

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1104053198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 COMMERCE DR STE 200",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254925",
            "telephone_number": "651-968-5042",
            "fax_number": "651-968-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 TOWN CENTRE DR STE 100",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551231188",
            "telephone_number": "651-968-5230",
            "fax_number": "651-994-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKOTA",
        "first_name": "ALLISON",
        "middle_name": "V",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MN",
            "license": "102368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.